Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Green Eaton, FNP

Individual provider Nurse Practitioner · NPI 1629400064

Laura Green Eaton, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2013, 13 years ago. Practices with Renuven ACO PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3210 Bristol Hwy
Johnson City, TN 37601-1552
Phone: (423) 926-2358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17719 (TN)

Record details

NPI number1629400064
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 8, 2013
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Renuven Aco Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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